{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T15:52:41Z","timestamp":1708530761846},"reference-count":25,"publisher":"Walter de Gruyter GmbH","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2021-0644_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Postoperative nausea and vomiting (PONV) are common symptoms after cesarean delivery (CD) that affect patients outcomes and satisfaction. The treatment of choice is still evolving, therefore, we aimed to evaluate PONV of combined paracetamol-dexamethasone vs. paracetamol alone.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0644_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This study is a double-blind randomized controlled trial on 100 patients undergoing cesarean delivery. Participants were randomly assigned into two groups of paracetamol or combined paracetamol-dexamethasone. Nausea and vomiting score, VAS score of pain, and chill were compared between the two groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0644_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The result of this study found that mild nausea 2nd\u00a0h after surgery in the combined group was lesser than paracetamol group (0.03). However, there was no statistically significant difference in nausea and vomiting score in other periods of time between the two groups. VAS score of pain decreased 12th and 6th h after the surgery in the combined and paracetamol group, respectively. Chilling occurred in two patients of combined group and four patients of paracetamol group (p=0.432).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0644_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Dexamethasone added to paracetamol might not improve pain and vomiting after cesarean delivery comparison with just paracetamol. But it can be effective for reducing the score of nausea after the surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2021-0644","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T20:02:10Z","timestamp":1652990530000},"page":"1067-1072","source":"Crossref","is-referenced-by-count":2,"title":["Effect of combined paracetamol and dexamethasone vs. paracetamol on postoperative nausea vomiting after cesarean section"],"prefix":"10.1515","volume":"50","author":[{"given":"Mohammadreza","family":"Bozorgmanesh","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery , Arak University of Medical Sciences , Arak , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamim","family":"Valibeik","sequence":"additional","affiliation":[{"name":"Student Research Committee, Arak University of Medical Science , Arak , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Shokrpour","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Arak University of Medical Sciences Arak , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Maktabi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Arak University of Medical Sciences Arak , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Kamali","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology , Arak University of Medical Sciences , Arak , Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"2023092212342433307_j_jpm-2021-0644_ref_001","doi-asserted-by":"crossref","unstructured":"Macones, GA, Caughey, AB, Wood, SL, Wrench, IJ, Huang, J, Norman, M, et al.. 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